AudiologyOnline Phone: 800-753-2160


MED-EL - Bonebridge - August 2023

Limited v. Comprehensive OAEs

Rebekah F. Cunningham, PhD, Tabitha Parent, AuD

January 17, 2005

Share:

Question

What is the difference between limited and comprehensive OAEs?

Answer

The best way to answer this question is too look at the definitions for limited and diagnostic OAE procedures as described in CPT codes. Even after reading the CPT descriptions, there is still a need for some decision-making on the part of the audiologist. Clinically, it can be a bit of a subjective judgment based on the purpose of the testing. Are you doing a screening on an infant or adult with a screening or "Quick Screen" protocol with a limited number of frequencies (i.e. perhaps 5 or less frequencies) and only one intensity level? Does the testing only take about 5 minutes? If so, it could be considered limited OAEs. Are you doing a diagnostic test on a patient in order to find out about hearing thresholds and etiology of hearing loss, and OAEs are used as one of the many tests performed to gather diagnostic information? Are you using a protocol that is not set up just for screening, testing a wide range of frequencies (greater than 5 frequencies), and possibly changing the intensity level of stimuli to obtain more data? If so, this could be considered diagnostic or comprehensive OAEs. The diagnostic testing might take longer to complete (i.e. 20 minute).

According to the CPT(Current Procedural Terminology) Book: (The words screening and diagnostic below are italicized because the CPT book showed them in italics)

CPT Code: 92587 - Otoacoustic Emissions, Limited "Recording of TOAE or DPOAE using single stimulus level or for screening (e.g. newborn screening) purposes with interpretation and report. Time factor: PC=0 minutes, TC=5 minutes"

CPT Code: 92588 - Otoacoustic Emissions, Diagnostic "Recording of TOAE or DPOAE at multiple frequencies, levels, or conditions or for diagnostic purposes with interpretation and report. Enter one code regardless of the number of conditions tested. Time factor: PC=15 minutes, TC=10 minutes"

PC refers to the "Professional Component" and TC refers to the "Technical Component"

Rebekah Fallis Cunningham, Ph.D. is currently an Assistant Professor in the Department of Audiology at the Arizona School of Health Sciences. She is the Director of Clinical Education at ASHS and instructs residential as well as transitional students in a variety of topics, including OAEs, Evoked Potentials, Pediatric Audiology, Newborn Hearing Screening, Auditory Processing and Cochlear Implants. She has practiced privately and as the coordinator for the pediatric program at a large hospital. She has also worked at a Children's Hospital and a Center for Developmental Delays, where she served as Audiology Director.

Tabitha Parent-Buck, Au.D, is the Chair of Audiology at the Arizona School of Health Sciences, a Division of A. T. Still University of Health Sciences. She obtained her Master's Degree in Audiology from Purdue University, and she obtained her Doctor of Audiology degree from Baylor College of Medicine. Dr. Parent-Buck has practiced in a variety of clinical settings, provided academic instruction as an Assistant Professor for the Department of Speech and Hearing Sciences at the University of New Mexico, and worked as a sales representative and trainer in the hearing aid industry for AVR Sonovation.


rebekah f cunningham

Rebekah F. Cunningham, PhD

Assistant Professor in the Department of Audiology at A. T. Still University, the Arizona School of Health Sciences

Dr. Cunningham is currently an Assistant Professor in the Department of Audiology at A. T. Still University, the Arizona School of Health Sciences (ASHS). She is the Clinical Coordinator at ASHS and instructs residential as well as transitional students in a variety of topics, including OAEs, Evoked Potentials, Pediatric Audiology, Auditory Processing Disorders and Cochlear Implants. She has practiced privately and at several Children's Hospitals, as well as a Center for Developmental Delays, where she served as Audiology Director.  She served for seven years on the American Academy of Audiology (AAA) Task Force on the Early Identification of Hearing Loss in Infants and Young Children. In addition, she served on the AAA Education Committee, chaired the Membership Committee of AAA for 3 years, and is currently on the AAA Board of Directors. Dr. Cunningham has designed, taught, and presented courses, as well as published, on the topics of assessment and management of children with hearing loss.


Tabitha Parent, AuD

Chair of Audiology, Arizona School of Health Sciences Distance Education Au.D. Program


Related Courses

Understanding Privilege, for Healthcare Professionals
Presented by Esther Clervaud, EdS
Recorded Webinar
AudiologyOnline

Presenter

Esther Clervaud, EdS
Course: #36096Level: Intermediate1 Hour
  'Instructor and information presented should make work places better for everyone'   Read Reviews
Systems of privilege have created a wide division of inequality. This course will help hearing care professionals identify their privilege and determine how to make a difference in their places of employment.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Creating Leadership in Audiology Through a Mentoring Circle
Presented by Natalie Phillips, AuD
Recorded Webinar
AudiologyOnline

Presenter

Natalie Phillips, AuD
Course: #37632Level: Introductory1 Hour
  'I had no idea the value of a mentor in audiology!'   Read Reviews
There are so many components to quality patient care that it is challenging to “master” them all. What if you could come together with other professionals who possess knowledge or experience that could help you or your practice? There are a number of veteran audiologists as well as rising professionals who have wisdom, qualifications, narratives, and unique journeys to share. The purpose of this talk is to rethink the traditional mentor/mentee vertical relationship and explore collaboration in the form of circle…where all professionals, regardless of age or experience, learn from each other.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Using Patient-Reported Outcome Measures (PROMs) to Improve Patient-Clinician Communication and Enhance Treatment Efficacy
Presented by Carren Stika, PhD
Recorded Webinar
ReSound

Presenter

Carren Stika, PhD
Course: #35841Level: Introductory1 Hour
  'Good refresher'   Read Reviews
Due to the recent increased focus on providing patient-centered healthcare, use of patient-reported outcome measures (PROMs) have become an essential component of assessing whether the services provided improved patients’ health and sense of well-being. This course will discuss the role of PROMs in healthcare and how using these measures in clinical practice can enhance treatment efficacy, improve patient-clinician communication, and assist clinicians in providing better person-centered care.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Learn to Earn the Salary You Deserve: Negotiating Like a Boss
Presented by Natalie Phillips, AuD
Recorded Webinar
AudiologyOnline

Presenter

Natalie Phillips, AuD
Course: #32770Level: Introductory1 Hour
  'The statistics of the salaries and percentage of each male and female that negotiate their salaries'   Read Reviews
The ability to negotiate your income displays immediate knowledge and confidence in your skillset and worth. In this course, we will examine a revenue and pay justification method to put into place as audiology business owners, employers, and employees.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Core Topics for Audiology Assistants
Presented by James W. Hall III, PhD, Kathleen Weissberg, OTD, OTR/L, Amit Gosalia, AuD
Recorded Webinar
AudiologyOnline

Presenters

James W. Hall III, PhDKathleen Weissberg, OTD, OTR/LAmit Gosalia, AuD
Course: #37123Level: Introductory3 Hours
  'I am currently working as a Patient Care Coordinator and studying for my Audiologist Assistant Certification'   Read Reviews
This course includes one hour of content on each of the following topics: 1) ethical concepts and decision-making; 2) universal safety precautions, including the Occupational Safety & Health Administration's (OSHA) bloodborne pathogens standard, and 3) patient confidentiality and the Health Insurance Portability & Accountability Act (HIPAA).

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.